Legend Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

LEGEND DENTAL PLLC

Practice address

2525 W Anderson LN
Building 3 Suite 300
Austin, TX 78757-1180

Phone

(972) 869-3789

NPI assigned

Jan 21, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Pu

Title

Cfo

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Legend Dental & Orthodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Michael Bozanich, DDS, MS

  • Periodontics
  • Santa Rosa, CA
  • NPI 1629362363
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1003111006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734753",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753734753",
            "telephone_number": "972-869-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W ANDERSON LN",
            "address_2": "BUILDING 3 SUITE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571180",
            "telephone_number": "972-869-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGEND DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "PU",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legend Dental & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Legacy Heart Care of Austin LLC
• Legacy Oaks Al, LLC
• Sue Genaro Legacy, LCSW
• Aileen Hania Legarda, NP
• Lindsay Lege, LCSW
• Legend Oaks - Austin, LLC
• Legent Advanced Orthopedic Institute LLC
• Denise Leger, RN
• Claudia L. Legere, M.D.
• Henry Joseph Legere III, MD

• Dentist in Austin, TX
• Providers in Austin, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.